Organization
COLLIER ENDOSCOPY & SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEGAN ALESSANDRA EVETTS (BILLER)
(239) 593-9599
Entity
Organization
Contact information
Practice address
3439 PINE RIDGE RD, NAPLES, FL 34109-3884
(239) 275-6678
(239) 275-5216
Mailing address
3439 PINE RIDGE RD, NAPLES, FL 34109-3884
(239) 593-9599
(239) 593-4099
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AS14960420
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070928000
—
FL
Enumeration date
05/17/2007
Last updated
12/14/2015
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